中国感染控制杂志2016，Vol.15Issue(8)：587-591,5.DOI:10.3969/j.issn.1671-9638.2016.08.012
重度腺病毒肺炎患儿预后不良相关危险因素
Risk factors for poor prognosis of severe adenovirus pneumonia in children
郑申健 1胡俊 1汪珍珍 1付文龙 2刘贺临1
作者信息
- 1. 武汉科技大学附属孝感医院 孝感市中心医院，湖北 孝感 432000
- 2. 重庆医科大学附属儿童医院，重庆 401122
- 折叠
摘要
Abstract
Objective To understand the risk factors for poor prognosis of severe adenovirus pneumonia (SAP)in children,and provide guidance for clinical diagnosis and prognosis.Methods Clinical data of 91 hospitalized children who diagnosed with SAP in Chongqing Children’s Hospital of Chongqing Medical University between January 2012 and January 2014 were analyzed retrospectively.Results Of 91 SAP children,23 (25.27%)had poor prognosis. Univariate analysis showed that risk factors for poor prognosis of SAP were age of onset,congenital heart disease and other serious underlying diseases,mechanical ventilation therapy,acute respiratory distress syndrome (ARDS), atelectasis and other serious radiological changes,and emergence of two and more extra-pulmonary complications (all P <0.05).Multivariate regression analysis showed that congenital heart disease and other serious underlying diseases,and emergence of two and more extra-pulmonary complications were independent risk factors for poor prognosis of SAP (all P <0.05).Conclusion Congenital heart disease and other serious underlying diseases,emer-gence of two and more extra-pulmonary complications are independent risk factors for poor prognosis of SAP,active intervention should be conducted during the process of clinical diagnosis and treatment,so as to improve the prognosis.关键词
儿童/重度/腺病毒肺炎/预后不良/危险因素Key words
child/severe/adenovirus pneumonia/poor prognosis/risk factor分类
医药卫生引用本文复制引用
郑申健,胡俊,汪珍珍,付文龙,刘贺临..重度腺病毒肺炎患儿预后不良相关危险因素[J].中国感染控制杂志,2016,15(8):587-591,5.
